• Journal of Korean Public Health Nursing
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• v.25 no.1
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• pp.84-94
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• 2011

Purpose: The purpose of this study was to develop a parents education program for early childhood health care and to measure its effects. Methods: This study was a quasi experimental study following a pretest-posttest design model. The subjects were 264 parents who had children aged 0-5 years in 7 rural districts or in the city. The content of this program was child development and management, and the management for health and disease for and emergency care. Parent education was performed by 7 nursing professors in each area, including 2 education sessions. Data were twice collected using a questionnaire, i.e. before the first session and after the second session. Data were analyzed by using the SAS software version 9.1. Result: The hypothesis of this study was that "the parents' score will improve after education". Our hypothesis was supported (t=7.30, p=<.0001). We found corelation in occupation and past experience of similar education. The contentment of education was higher than 90%. Conclusion: The systematic parents education program was very useful and effective, in raising the level of contentment of subjects. There is the needed for the social opportunity of parents' education program to be extended and emphasised by public support.

• Health Policy and Management
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• v.16 no.2
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• pp.77-95
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• 2006

The present study was conducted to examine the degree of variation in length-of-stay (LOS) among health care institutions participating in 17 diagnosis-related groups (DRGs) payment system and to find out hospital characteristics affecting the variation. Electronic medical claims data for treatments of severity classification '0' of 17 DRGs provided for two $years(2003{\sim}2004)$ were collected. For each DRG, the degree of variation in average LOS among health care institutions were analyzed using the random effect model. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS. Significant variations in LOS were observed 9 DRGs including unilateral/bilateral lens procedures, adult/child tonsilectomy, other anal procedures, bilateral adult/child herniorraphy, unilateral child herniorraphy, and hysterectomy, and hysterectomy using laparoscopic procedure. Among the 9 DRGs, five DRGs were selected to investigate the factors explaining for the variation. It was observed that the location of institution was significant predictors for all five DRGs. Within the same DRGs, LOS was significantly shorter among the institutions located in Seoul than those in other areas. As compared to clinics, hospitals and general hospitals/tertiary care institutions showed significantly longer LOS for DRGs of lens procedures, tonsilectomy, and other anal procedures. It is recommended that the institutions located in other than Seoul area benchmark the strategies of the institution in Seoul in efficiently managing LOS. Also, significant variation within the same severity classification such as other anal procedures implies the imminent need for improvement of patient classification system.

• Child Health Nursing Research
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• v.16 no.4
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• pp.304-313
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• 2010

Purpose: This study was done to develop an educational needs scale for the prevention of cell phone addiction and to investigate the educational needs for prevention of cell phone addiction in Korean adolescents. Methods: The participants were 609 adolescents in one middle school and two high schools. Data were collected through self-report questionnaires, and analyzed using the SPSS program. Results: Twenty items regarding the educational needs for prevention of cell phone addiction were selected for the final scale, and categorized into 3 factors (diagnosis and management, properties, and definition and actual condition) which explained 61.09% of the total variance. The educational needs for the prevention of cell phone addiction in adolescents were moderate, with items related to diagnosis and management ranked as most important. The educational needs for prevention of cell phone addiction varied by gender, grade, academic achievement, perception of health status, satisfaction with school, and text messaging participants. Conclusion: The findings indicate that educational needs for diagnosis and management of cell phone addiction ranked as most important in adolescents. Therefore, programs related to the prevention and management of cell phone addiction based on the educational needs of adolescents should be provided.

• Child Health Nursing Research
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• v.25 no.4
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• pp.518-527
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• 2019

Purpose: The purpose of this study was to identify the effects of an educational intervention by evaluating neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance after developing and operating a simulation-based neonatal emergency airway management education program for nurses in a neonatal intensive care unit. Methods: The participants were 30 nurses in a neonatal intensive care unit. Data were collected from June 6 to 15, 2018 and analyzed using IBM SPSS version 22.0. Results: The results of the pretest and posttest for each educational group showed statistically significant improvements in neonatal emergency airway management knowledge, critical thinking, problem-solving ability, and confidence in clinical performance. Conclusion: The simulation-based neonatal emergency airway management training program was an effective educational program that enhanced neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance among nurses in a neonatal intensive care unit. Therefore, it is suggested that the program described in this study can contribute to improving nursing quality by enhancing the ability of nurses to cope with emergencies in practice. It can also be used for education for new nurses and contribute to the development of nurses' practices.

• Korean Journal of Child Studies
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• v.30 no.4
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• pp.1-14
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• 2009

This research examined perceptions of parents and directors of child-care centers about safety, injury prevention, and range and level of compensation. Subjects were 285 parents and 297 directors of child-care centersin Kyunggi Province.Data were analyzed by t-test. Results showed differences between perceptions of parents and directors : parents considered the content and frequency of safety education to be more important; directors considered preparation for safety and safety management of equipment for injury prevention to be more important. Parents thought that range of compensation should include travel to and from the child-care center; directors thought that range of compensation should include sudden infant death. There was no difference between parents and directors regarding amount, subject, and process of compensation.

• Journal of Families and Better Life
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• v.29 no.1
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• pp.111-126
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• 2011

The aim of the present study was to compare child care center directors and teachers' recognition of criteria for class placements, specifically for children who were born in January or February, children's ability, and for mixed-age classes. The subjects were 398 center directors and 383 teachers in Seoul, Gyeonggi-do, Jeolla-do, Gangwon-do, Choongcheong-do and Gyeongsang-do. Data were analyzed by SPSS 12.0 and the t-test and Chi-square test were used. The results were as follows: (1) Most child care center directors and teachers believed that children born in January or February should share a classroom with classmates of the same age. (2) Most child care center directors and teachers believed that regardless of a child's ability, it was desirable for the child to be in a class with classmates of the same age. (3) Child care center directors thought that the current criteria for teacher-child ratios within a mixed-age classroom were acceptable but should be lowered if the child care center was not experiencing financial problems. Meanwhile, most of the teachers thought that lower teacher-child ratios within a mixed-age classroom was desirable.

• Journal of the East Asian Society of Dietary Life
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• v.27 no.4
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• pp.459-472
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• 2017

This study provides preliminary data to help organize improvements in analyzing the importance and performance of sanitation management items and the management of foodservice facilities in Community Child Centers in Daegu and Gyeongbuk Area. Questionnaires were distributed to 173 participants in sanitation and safety education at the center from April~June 2013 and 121 questionnaires were used as analysis data to investigate the management of foodservice facility at Community Children Centers in Daegu Gyeongbuk area. Most of the Community Child Centers are privately owned, and 62.0% had 20 to 29 children. Only 6.6% and 50.4% of the centers had nutritionists or cooks, respectively, due to budget deficits, and the foodservices were run by employees holding other positions. An investigation of sanitation management found that 84.3% of employees had a regular health inspection with significant differences between Daegu and Gyeongbuk (p<0.05). Most of the sanitation education was necessary, and the contents of sanitation education were applied to the fields in 66.1% of facilities. The reasons why the contents of them were not used in the fields included, the shortage of facilities and devices at 20.7%, which was the most common explanation. The separation separated of contaminated and non-contaminated areas were observed in 45.5% of facilities (p<0.01), separated sinks for pre-processing and cooking were found in 50.4%, and a show significant higher rate was noted in Daegu than in Gyeongbuk (p<0.05). An interior wall and, floor tile installation were observed 43.8% of facilities and a significantly higher rate was noted in Daegu than in Gyeongbuk (p<0.05). 30.9% of centers in Daegu and 11.3% of centers in Gyeongbuk area were equipped with a hot holding table(p<0.05). Overall, there is a need for education of foodservice to managers because most facilities do not have dietitians. In addition, facilities and equipment should be supplied continuously to foodservice facilities in community child centers.

• Child Health Nursing Research
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• v.12 no.4
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• pp.451-461
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• 2006

Purpose: The purpose of this study was to identify the effects of a obesity management program on BMI, body composition, knowledge, perception and attitudes, mood and exercise habits in obese elementary school children with the goal of developing nursing interventions to promote a healthy lifestyle. Method: The study used a pre-experimental design with a one-group pre-post test. The content of the 8-week obesity management program included obesity education, diet control education, behavioral modification education, counseling, hand-reflexo massage, and exercise. Participants were 36 obese children who were students in elementary schools in K city. Data collection was done from October $4^{th}$ to November $28^{th}$, 2005. The data was analyzed using descriptive statistics and paired t-test. Results: After the students received the obesity management program, their BMI scores were significantly lowered, and scores for mood and excercise habits were significantly improved. Conclusion: The results show this obesity management program is effective in changing the BMI, mood, and behavioral modifications in obese students. The results suggest that this program be utilized to manage obesity in obese children, and that this study be replicated to compare an experimental group with a control group in order to verify the effects of the obesity management program.

• Child Health Nursing Research
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• v.13 no.4
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• pp.399-406
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• 2007

Purpose: This study was performed to test an obesity management program for elementary school children. The program was assessed by examining its effects on the obesity, dietary attitudes, dietary habits, and exercise habits. Methods: The participants were 65 elementary school children, of which 32 were assigned for the experimental group and 33 for the control group. The experimental group received an 8 weeks obesity management program. The outcome variables were measured before and after the program. $X^2$-test and t-test were used to analyze the data. Results: After the obesity management program, the BMI and fat mass percentage in the experimental group were significantly reduced. The score for dietary attitudes and dietary habits changed in a positive direction. Conclusions: The findings from this study suggest that the obesity management program was effective in decreasing the rate of obesity and increasing the score for dietary attitudes and dietary habits. The program should be effective in the management of obesity in elementary school children.

• The Journal of Korean Society for School & Community Health Education
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• v.8 no.1
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• pp.55-68
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• 2007

Objectives: This study was conducted to describe child perceived health knowledge, health education needs, and health behaviors by grade in a representative general characteristic and examined their associations for students' better health behaviors. Methods: The survey participants were 410 fourth to sixth grade students in two elementary schools in Seoul, Korea. A total of 12 classes in two elementary schools were randomly selected and all students of the selected classes participated in the self-administered survey. The questionnaire contained the items of perceived health knowledge, health education needs(health topics which they want to know more), health behavior, and general characteristics. Results: Perceived health knowledge, health education needs, and health behaviors were, generally, better in the $4^{th}$ grade students than $5^{th}$ or $6^{th}$ grade students. That is, higher grade students had lower perceived health knowledge, lower health education needs, and lower health behavior status. Specifically, there was significant grade differences in 'significance of publichealth,' 'nutritionandhealthyeating,' 'desirablehealthhabits,' 'humansex,' 'physical development in childhood,' 'stress management & drugcontrol,' and 'injury prevention.' Correlations between perceived health knowledge and health behavior were low or medium in all grades. However, correlations between perceived health education needs and health were significant in the $4^{th}$ grade students but not significant in the $5^{th}$ and $6^{th}$ grade students. Conclusions: There was significant grade difference of the relationship between health knowledge, health education needs, and health behaviors among children. In general, the lower the grade the better the health knowledge, educational needs, and health behavior. Health education needs were more significant by grade than perceived health knowledge and health behaviors.